View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1405-0088	ICR Reference No: 202508-1405-002
Status: Active	Previous ICR Reference No: 202207-1405-001
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Affidavit of Identifying Witness
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/14/2026
	Date Received in OIRA: 08/05/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2029	36 Months From Approved	09/30/2026
Responses	94,940	0	50,600
Time Burden (Hours)	16,345	0	12,650
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	94,940	50,600	-6,260	50,600
Annual Time Burden (Hours)	16,345	12,650	-8,955	12,650
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Cutting Redundancy

Short Statement: For the next three fiscal years, the projected average number of DS-11 respondents is 12,669,500 (rounded). Therefore, the estimated annual number of DS-71 respondents is 44,340 (12,669,500 x .0035). To determine the time burden, we multiply the number of respondents (44,340) by the response time (5 minutes) and divide by 60. As a result, the estimated total annual respondent time burden for the collection is 3,695 hours. (44,340 x 5 (minutes) / 60 = 3,695 hours per year)

Annual Cost to Federal Government: $28,820

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Alan Jones 202 717-0683

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.